Repatterning of stroke rehabilitation clients following return to life in the community

The purpose of this study was to learn more about problems stroke patients experience after rehabilitation and how they perceive and interact with their environment. Findings indicate that nurses need to consider individual life patterns, current goals and the resources and impediments of the home and community environment in planning interventions. Subjects wanted a challenging but not overly stressful environment. Most of their energy was consumed with accomplishing the activities of daily living. Complex planning and timing were necessary to continue a few pleasurable activities. Advocates are needed for better design and accessibility in the environment of our aging population, with increasing numbers of chronically ill and disabled, and for all people.